Medical and Educational Collaboration for Therapy Services: The Oregon Experience

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In 1994, the Oregon Health Plan challenged the delivery of physical therapy and occupational therapy services for children with special health needs by transferring Medicaid recipients to managed care. Primary care physicians and managed care plans attempting to provide appropriate services requested assistance. The authors coordinated a statewide collaborative effort to examine existing services, to clarify the complementary roles of medically based and educationally based therapy services, to advocate for best practice, and to publish a comprehensive document detailing guidelines for medically based outpatient therapy services. They describe a process that attempts to balance fiscally responsible utilization of therapy resources with advocacy for appropriate therapy services.

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